Registered Nurse (RN) Case Manager Vacancy @ Banner Health in US-AZ-Sun City

About Banner Boswell Medical Center Since 1970, Banner Boswell Medical Center has provided exceptional care to the people in the northwest area of metropolitan Phoenix, Ariz. Today, our 430-bed acute-care hospital is recognized by U.S. News and World Report as one of Phoenix’s Best Hospitals and offers a full range of acute care services, including cardiology, oncology, orthopedics, neurology, surgery, rehabilitation, emergency, stroke, intensive care, pulmonary, urology, wound management and sleep disorders.  Through our commitment to innovation and community-focused caring, we have become nationally recognized for quality care.  We earned the Gold Seal of Approval™ from The Joint Commission for Primary Stroke Centers. We’re also in the nation’s top five percent for preventing mortality and complications.

Job Summary:

This position provides comprehensive care coordination for patients as assigned. This position assesses the patient’s plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient’s health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. Essential Functions Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care. Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay utilizing standard criteria. Identifies issues that may delay patient discharge and facilitates resolution of these issues. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. May supervise other staff. Minimum Qualifications Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse (R.N.) license in state worked. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required. Requires a proficiency level typically achieved with 5 years clinical experience. Must have a working knowledge of care management, hospital, community resources and resource/utilization management. Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format. Must be able to work flexible hours and take rotating call after hours. Banner Registry and Travel positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Case Manager in the specialty area. Preferred Qualifications CCM (Certified Case Manager) preferred Additional related education and/or experience preferred.